Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $269.33 / $388.89	Facility		$146.94	$269.33	$388.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.37 / $68.37 / $68.37	Facility	26	$68.37	$68.37	$68.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $250.68 / $382.86 / $458.85	Facility	TC	$250.68	$382.86	$458.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $42.03 / $147.91	Professional		$27.31	$42.03	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $11.60 / $63.00	Professional	26	$8.52	$11.60	$63.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $29.42 / $54.42	Professional	TC	$18.78	$29.42	$54.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $218.05 / $254.15	Facility		$93.37	$218.05	$254.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $49.71 / $73.62	Professional		$44.32	$49.71	$73.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.24 / $22.56	Professional	26	$9.27	$13.24	$22.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.54 / $36.47 / $37.21	Professional	TC	$25.54	$36.47	$37.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.43 / $326.44 / $573.86	Facility		$135.43	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $60.24 / $88.72	Professional		$35.04	$60.24	$88.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $15.97 / $22.89	Professional	26	$9.42	$15.97	$22.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.91 / $44.27 / $66.73	Professional	TC	$24.91	$44.27	$66.73
United Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $44.64 / $75.70	Professional		$30.46	$44.64	$75.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $13.08 / $20.43	Professional	26	$9.81	$13.08	$20.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $34.04 / $65.04	Professional	TC	$24.90	$34.04	$65.04